Dr Mark Samir Boutros, MD in Indianapolis, IN

Dr Mark Samir Boutros, MD is a medicare enrolled "Internal Medicine" physician in Indianapolis, Indiana. His current practice location is 4200 S East St, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 991-7600.

Dr Mark Samir Boutros is licensed to practice in Virginia (license number 0101265722) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1700992674.

Contact Information

	Dr Mark Samir Boutros, MD
	4200 S East St, Indianapolis, IN 46227
	(317) 991-7600
	(317) 215-7038

Map and Direction

Physician's Profile

Full Name	Dr Mark Samir Boutros
Gender	Male
Speciality	Internal Medicine
Location	4200 S East St, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700992674
Provider Enumeration Date: 08/22/2006
Last Update Date: 01/17/2024

Medicare PECOS Information:

PECOS PAC ID: 6800080334
Enrollment ID: I20120409000001

Medical Identifiers

Medical identifiers for Dr Mark Samir Boutros such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700992674	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	0101265722 (Virginia)	Primary
207R00000X	Internal Medicine	01070720A (Indiana)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Mark Samir Boutros allows following entities to bill medicare on his behalf.

Entity Name	Hospital Medicine Services Of Tennessee Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528433802 PECOS PAC ID: 9234432881 Enrollment ID: O20160714001751

Entity Name	Hospitalist Physicians Of Indiana Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306576277 PECOS PAC ID: 1052795986 Enrollment ID: O20220826000967

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark Samir Boutros is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Mark Samir Boutros, MD 4200 S East St, Indianapolis, IN 46227-1534 Ph: (317) 991-7600	Dr Mark Samir Boutros, MD 4200 S East St, Indianapolis, IN 46227 Ph: (317) 991-7600

Reviews and Comments

Internal Medicine Doctors in Indianapolis, IN

Irene A Carrothers, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 Senate Blvd, Indianapolis, IN 46202 Phone: 317-963-8776 Fax: 317-963-5285
Liam P Howley, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1001 West 10th St Opw-m200, Indiana University Department Of Medicine, Indianapolis, IN 46202 Phone: 317-630-6560
Dr. Satish Kenchaiah, MD, MPH Internal Medicine Medicare: Medicare Enrolled Practice Location: 1481 W 10th St, Indianapolis, IN 46202 Phone: 317-988-4989
Gretchen Suarez, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 W Michigan St, Indianapolis, IN 46202 Phone: 317-278-0042 Fax: 317-278-0027
Cristina Nancy Perez Chumbiauca, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-944-5000
Dr. Andrew Jonathen Ortega, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 702 Rotary Cir, Indianapolis, IN 46202 Phone: 317-278-4427
Dr. Omair Ahmad Syed, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 640 Eskenazi Ave # F2-600, Indianapolis, IN 46202 Phone: 317-278-5570

Dr Mark Samir Boutros, MD - Medicare Internal Medicine in Indianapolis, IN